Mark Park
Dentist

Address: 404 Shatto Pl Apt 443, Los Angeles, CA 90020-1739
Phone: 3237172375

Mark Park (NPI# 1134734353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1134734353
Entity Type Individual
Full Name Mark Park
Credential DDS
Gender Male
Practice Address 404 Shatto Pl Apt 443
Los Angeles
CA 90020-1739
Practice Telephone 3237172375
Mailing Address 404 Shatto Pl Apt 443
Los Angeles
CA 90020-1739
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2020-09-14
Last Update Date 2020-09-14

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 122300000X Dentist Dental Providers 105513 CA

Providers with the same name

NPI Name Taxonomy Address Enumeration
1912248683 Mark Park Oral & Maxillofacial Surgery 260 Old Hook Rd Ste 202, Westwood, NJ 07675-3123 2013-03-06
1720049034 Mark C. Park Optometrist 6345 Balboa Blvd, Building 3, Suite 250, Encino, CA 91316-1519 2006-03-28
1073517801 Mark J Park Optometrist 919 13th Ave, Delano, CA 93215-2202 2005-06-09

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851992481 Centinela Joseph Dental Group Dentist 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 2020-11-02
1134729601 Enas Tayyem Dentist 2100 N Beachwood Dr Apt 303, Los Angeles, CA 90068-3442 2020-10-26
1639776073 Stephanie Jeanne Bauman Dentist 3060 W Olympic Blvd Apt 438, Los Angeles, CA 90006-3838 2020-10-08
1316544570 Azzah Widatalla Dentist 5455 Wilshire Blvd Ste 850, Los Angeles, CA 90036-4234 2020-10-01
1104433796 Irena Starchenko Dentist 2007 Wilshire Blvd Ste 525, Los Angeles, CA 90057-3518 2020-09-28
1740895150 Chantelle Aabedi Dentist 2711 Casiano Rd, Los Angeles, CA 90077-9007 2020-09-11
1801401542 Yojeong Cho Dentist 621 S Western Ave Ste 201, Los Angeles, CA 90005-3042 2020-09-10
1518572247 William Hwang Dentist 2727 W Olympic Blvd Ste 311, Los Angeles, CA 90006-2699 2020-09-10
1912511056 Shervin Moshashaei Dentist 1420 Peerless Pl Apt 212, Los Angeles, CA 90035-2869 2020-09-05
1407468457 Somaye Gerannazar Dentist 722 S Bixel St Apt A927, Los Angeles, CA 90017-6237 2020-08-20
Find all providers in LOS ANGELES

Office Location

Street Address 404 SHATTO PL APT 443
City LOS ANGELES
State CA
Zip Code 90020-1739

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164948048 Edwina Antoinette Hunter Community Health Worker 550 S. Vermont Ave, 6th Floor, Los Angeles, CA 90020 2017-08-22
1639520661 Jacqueline Carrasco Counselor 550 South Vermont Ave, 10th Floor, Los Angeles, CA 90020 2016-06-30
1649630914 Hee Seung Lee Marriage & Family Therapist 3727 W. 6th Street, Suite 507, Los Angeles, CA 90020 2016-03-01
1134596273 Jocelyn Marie Lee Optometrist 3750 W 6th St Ste 113, Los Angeles, CA 90020 2015-08-24
1316327075 Lourdes Encarnacion Araujo Social Worker 550 S Vermont Ave 3rd Floor, Los Angeles, CA 90020 2015-06-08
1477933463 Department of Mental Health Clinic/Center 550 South Vermont, Los Angeles, CA 90020 2015-06-04
1538566047 Calvin A. Kim Internal Medicine 4220 W 3rd St Ste 201, Los Angeles, CA 90020 2014-11-26
1093115792 John Abaya Counselor 550 S Vermont Ave 10th Floor, Los Angeles, CA 90020 2014-08-29
1528494481 Sung Eun Lee Acupuncturist 340 S New Hampshire Ave #211, Los Angeles, CA 90020 2013-09-23
1861836587 Robert Lee Smalls Jr. Marriage & Family Therapist 550 South Vermont Avenue, Juvenile Justice Transition Aftercare Services Division, Los Angeles, CA 90020 2013-04-24
Find all providers in zip 90020

Competitor

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City LOS ANGELES
Zip Code 90020

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.